The Northeast black soil region in China is an important grain-producing area where various pesticides are extensively used to increase grain yields. However, this practice poses serious risks to the ecological health of soil and water systems, necessitating effective measures. Vegetative filter strips (VFS) are commonly used to mitigate agricultural diffuse pollutants, but their efficiency varies across different regions, requiring assessment. This study employed flume experiments, the VFSMOD-W model, and redundancy analysis (RDA) to evaluate the efficacy of VFS in runoff, sediment, and pesticide removal, as well as influencing factors. The results showed that VFS reduced outflow rate of runoff by 8 %–64 % and sediment by approximately 90 %, achieving load removal rates of 61 % and 95 % respectively. Pesticide load removal efficiency ranged from 37 % to 94 %, with higher efficiency for adsorbed pesticides like chlorpyrifos compared to water-soluble ones like atrazine. Interflow and vertical seepage were significant pathways for pesticide transport in VFS, with chlorpyrifos concentrations at 4 %–26 % and atrazine at 20 %–37 % of inflow concentrations. The VFSMOD-W model accurately predicted VFS efficiency (NSE > 0.90), and RDA results indicated that environmental factors could explain 86.7 % of the variation in VFS performance, with soil vertical saturated hydraulic conductivity (VKS) being the most influential factor, followed by rainfall intensity (T), saturated soil water content (OS), initial soil water content (OI), and filter slope for each segment (SOA). Optimizing soil moisture characteristic factors and increasing infiltration are crucial for VFS performance. Applying VFSMOD-W for precise VFS design can help reduce construction costs. In the future, long-term field monitoring and evaluation of VFS efficiency after implementation should be conducted in the black soil region of Northeast China to provide data supporting the improvement of VFSMOD-W simulation accuracy. This will also offer recommendations for the government in formulating VFS configuration schemes.